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Mar. 9. 2007 9:59AM Advanced G e o E n v 1 r o n m e n t a I No. 7871 P. 1 <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBE=R <br /> ENVIRONMENTAL HEALTH DEPARTMENT E I <br /> 304 East Weber Avenue, 3dFloor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fag: (209)464-0138 Web;www,sigov.org/ehd i <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: , PS6 '1 BUSINESS!AGENCY: bydttlu (XbbhViripr�We--till <br /> 4 <br /> ADDRESS: 31 She! Qa (J�/ X) <br /> PHONE(1): 07Q 7 7 7 ' d f0 PHONE(2) FACSIMILE:oZ P-7 I,b /ry <br /> `/// <br /> TENTATIVE*APPOINTMENT DATE: 7,M Time: � <br /> (Please allow 10 business days fro d to oKbOR <br /> ation submittal-'Tentative only-must be confirmed) <br /> SIGYCHECK BOX TO EXPEDITE QUEST-$95.00 FEE C K ONLY -R QUEST PROCESSED I BUST 33 DAYS <br /> URE OF APPLICANT DATE <br /> Electronic Information: ❑ Li8t❑ ap—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ unit 1 <br /> 2. ❑ Unit 2 <br /> 3. T <br /> 4 Unit 3 (� <br /> 6 units <br /> 7. <br /> - ❑ Units <br /> a. <br /> 9. <br /> ❑ LInit8 <br /> 10. <br /> Specific Date Range of Information Requested: F m to <br /> �J ENVIRO ENTAL HEALTH DEPARTMENT FILES <br /> �p UNDERGROUND TANK(UST)CLEANUP SITE(LOP) d HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR 13 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL 2ZPUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOQIE30DY PIERCING ❑POOL/$PA 961LAND USE APPLICATION SITES <br /> C7 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) 7-17 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY.FmDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS, <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one Elle type MUST be selected. Fax to(209)464-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(i0) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4, Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD R8-08 9/132005 <br />